The Clinical Significance of Pulmonary Hemorrhage: A Study of 1316 Patients with Chest Disease

Abbott, Osler A.

doi:10.1378/chest.14.6.824

Cited by 40 publications

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“…Until today, most of the data regarding the causes of hemoptysis were based on retrospective studies and involved American, African or Asian cohort populations [2,11,12,13,14,15,16,17]. These studies showed that the etiology of hemoptysis varies according to geographic location.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Analysis of 184 Hemoptysis Cases – Diagnostic Impact of Chest X-Ray, Computed Tomography, Bronchoscopy

et al. 2006

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Background:The clinical presentation of hemoptysis often raises a number of diagnostic possibilities. Objectives:This study was designed to evaluate the relative frequency of different causes of hemoptysis and the value of chest radiography, computed tomography (CT) scanning and fiber-optic bronchoscopy in the evaluation of a Greek cohort population. Methods:We prospectively followed a total of 184 consecutive patients (137 males/47 females, 145 smokers/39 nonsmokers) admitted with hemoptysis between January 2001 and December 2003 to the University Hospital of Heraklion. Follow-up data were collected on August 2005. Results:The main causes of hemoptysis were bronchiectasis (26%), chronic bronchitis (23%), acute bronchitis (15%) and lung cancer (13%). Bronchiectasis was significantly more frequent in nonsmokers (p < 0.02). Among nonsmokers, patients with moderate/severe bleeding or a history of tuberculosis were more likely to have bronchiectasis (OR 8.25; 95% CI 1.9–35.9, p = 0.007 and OR 16.5; 95% CI 1.7–159.1, p = 0.007, respectively). Nonsmokers with normal or abnormal X-rays were equally likely to have bronchiectasis (OR 2.5; 95% CI 0.66–9.39, p = 0.2). Lung cancer was only found in smokers. Smokers with normal X-rays were less likely to have lung cancer compared to smokers with abnormal X-ray (OR 5.4; 95% CI 1.54–19.34, p = 0.004). There were no smokers with normal CT and lung cancer. Follow-up data were collected in 91% of patients. Lung cancer did not develop in any patient assumed to have hemoptysis of another origin than lung cancer on initial evaluation. Conclusions:Bronchiectasis is the main diagnosis in patients admitted with hemoptysis to a Greek University Hospital and it is more frequent among nonsmokers with moderate/severe bleeding and/or previous tuberculosis infection. Nonsmokers with moderate/severe hemoptysis and/or a history of tuberculosis should be evaluated with high-resolution CT. Smokers with hemoptysis are at increased risk for lung cancer and need to be extensively evaluated with chest CT and bronchoscopy.

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Section: Discussionmentioning

confidence: 99%

A Prospective Analysis of 184 Hemoptysis Cases – Diagnostic Impact of Chest X-Ray, Computed Tomography, Bronchoscopy

et al. 2006

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“…In the series of Abbot from Atlanta in the 1940s, the main diagnosis was active tuberculosis in 22% and bronchiectasis in 21% of the cases. 5 While in present study the main aetiology was active pulmonary tuberculosis, old pulmonary tuberculosis in 38.4% and 32.6% cases and followed by chronic bronchitis in 8.6% cases. Domoua K et al done a retrospective study in 142 cases to ascertain the main aetiologies of haemoptysis observed in the Pneumophtisiology Unit and they highlighted that the main aetiologies were pulmonary tuberculosis, acute pneumonia, bronchiectasis, pulmonary aspergilloma and bronchogenic cancer in 49.3%, 13.3%, 11.2%, 7.7% and 4.2% cases of haemoptysis, respectively.…”

Section: Discussionmentioning

confidence: 43%

“…Most of the data from developed countries regarding haemoptysis suggest that bronchiectasis, lung cancer, chronic bronchitis, pneumonia are the leading causes and less commonly by tuberculosis. [4][5][6][7] However, in developing countries, pulmonary tuberculosis still remains to be the major cause of haemoptysis with a high prevalence of the disease. [8][9][10] In India, Pulmonary tuberculosis was the most common cause of haemoptysis in earlier study and other recent study in which tuberculosis was found in 79.2% of patients.…”

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confidence: 99%

A Prospective Study to Know the Aetiology and the Final Outcome of Haemoptysis Patients Attending a Tertiary Care Centre in North India

Verma¹,

Kumar²,

Kumar³

et al. 2016

jemds

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“…Daha eski çalışmalarda tü-berküloz önemli derecede etyolojiyi oluşturmasına rağmen, çalışmamızda düşük oranlarda bulunmuştur. 1940 yılında Abbott [13] tarafından yapılan bir çalışma-da tüberküloz %22 oranında etyolojiyi oluştururken, çalışmamızda bu oran %3 olarak bulunmuştur.…”

Section: Discussionunclassified

The relationship between the etiologic distribution and characteristics of hemoptysis in patients hospitalized due to hemoptysis

Diktas¹,

Doğan²,

Cömert³

et al. 2011

J Kartal TR

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ÖzetAmaç: Hemoptizi nedeniyle hastaneye yatırılarak tetkik ve tedavi edilen hastalarda etyolojik dağılım, hemoptizinin miktarı ve tekrarlama özelliği ile etyoloji arasındaki ilişkiyi ortaya koymak. Hastalar ve Yöntem:2008 ve 2009 yıllarında hemoptizi nedeniyle hastaneye yatan hastaların kayıtları retrospektif olarak incelendi. Hemoptizinin miktarı hafif (<30 ml/gün), orta (30-100 ml/gün), ağır (100-600 ml/gün) ve masif (>600 ml/ gün) olmak üzere belirlendi. Ayrıca "yeni" (son 1 ay içinde) veya "tekrarlayan" (1 aydan daha uzun süre) hemoptiziler belirlendi. İstatistiksel analizlerde ki-kare testi kullanıldı. Bulgular: Kayıtları incelenen 101 hastanın 29'u (%28.7) kadın, 72'si (%71.3) erkek olup yaş ortalaması 53.7±17.2 bulundu. Olguların %90.1'ı (n=91) yeni hemoptizi, %9.9'u (n=10) ise tekrarlayan hemoptiziydi. Hemoptizi miktarına göre olguların büyük bir kısmı (n=90, %89) hafif hemoptizi grubundaydı. Orta (n=3), ağır (n=6) ve masif (n=2) hemoptiziler ise kalan %11'i oluşturmaktaydı. Akciğer kanseri (%40.6, n=41) en sık hemoptizi nedeni olarak bulunurken, onu pnö-moni (%14.9, n=15), pulmoner emboli (%6.9, n=7), ve kanserin akciğere metastazı (%5.9, n=6) izlemekteydi. Olguların 13'ünde (%12.9) hemoptizi sebebi tespit edilememişti. Ne hemoptizinin yeni veya tekrarlayan olması, ne de hafif veya orta-ağır-masif olması ile malign ya da benign etyoloji arasında anlamlı ilişki tespit edilemedi (p>0.05). Sonuç:Hastanede yatırılarak tetkik ve tedavi edilen hemoptizi olgularının neredeyse yarısını malign etyoloji oluştur-maktadır. Hemoptizinin özellikleri, en azından bu seride tanı konusunda yönlendirici olmamıştır.

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The Clinical Significance of Pulmonary Hemorrhage: A Study of 1316 Patients with Chest Disease

Cited by 40 publications

References 0 publications

A Prospective Analysis of 184 Hemoptysis Cases – Diagnostic Impact of Chest X-Ray, Computed Tomography, Bronchoscopy

A Prospective Analysis of 184 Hemoptysis Cases – Diagnostic Impact of Chest X-Ray, Computed Tomography, Bronchoscopy

A Prospective Study to Know the Aetiology and the Final Outcome of Haemoptysis Patients Attending a Tertiary Care Centre in North India

The relationship between the etiologic distribution and characteristics of hemoptysis in patients hospitalized due to hemoptysis

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